Payne, A;
Than, NN;
Jalan, R;
Yu, D;
(2020)
An Unusual Case of Hematochezia.
Cureus
, 12
(7)
, Article e8957. 10.7759/cureus.8957.
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Abstract
Lower gastrointestinal bleeding (LGIB) is a serious and potentially life-threatening condition warranting hospital admission. The most frequent causes include diverticular disease, colitis, hemorrhoids, neoplasm, inflammatory bowel disease, and varices. Varices usually occur secondary to liver cirrhosis and are frequently located in the gastroesophageal region. Those occurring elsewhere are known as ectopic varices. The diagnosis and management of ectopic varices is challenging, and guidelines are not currently available. We report the case of recurrent large-volume hematochezia secondary to a cecal varix in a 60-year-old female with alcoholic liver cirrhosis. Initial investigation with CT angiography and endoscopy failed to identify the source of bleeding. A second CT angiogram identified a large varix in the cecum, and the patient was successfully managed with radiological embolization and transjugular intra-hepatic porto-systemic shunt (TIPSS).
| Type: | Article |
|---|---|
| Title: | An Unusual Case of Hematochezia |
| Location: | United States |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.7759/cureus.8957 |
| Publisher version: | https://doi.org/10.7759/cureus.8957 |
| Language: | English |
| Additional information: | © Copyright 2020 Payne et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 4.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
| Keywords: | cecal varix, ectopic varices, embolisation, hematochezia, tippss, variceal bleed |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Medicine UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Medicine > Inst for Liver and Digestive Hlth |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10108580 |
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